Describe your work environment...

[101N]

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Moi...

Physiatrist, work with two surgeons, 3D/wk at the main office - metro area with 300K catchment - 2d/wk traveling to rural satellites on or near the Pacific coast. Love my satellite clinics, was at one today🙂

We are having a warm summer,96 today, the commute was spectacular.

 

[Tenesma]

Anesth - work solo - 3.5d/wk - small town of 22k - 125k catchment area - no travelling to satellite clinics
NP who jumps on grenades and does the grunt work for inpt consults... pts are trained not to call after hours, and if it is an after-hour issue they have to go to the ER where I will be glad to meet them and examine them (happens about once every 18 months).

new england climate, 7 minute commute

 

[lobelsteve]

http://www.canton-georgia.com/

40 min from downtown Atlanta.

M-F 730-5.

No weekends or call.

www.medassoc.com

Surrounding clinic provides staff, referral base, imaging, PT, PCP's.

100% pain. New patients, follow-ups, procedures mixed in all day long.
Hospital is across the street and does not bug me. Free lunch and I do my implants there.
Was there from 1-630 on Thursday for 2 cases. 96 y/o who wants to golf got 2 easy octrodes. 47 y/o who wants to take care of grandkids got S8's. If I just was happy with good enough, I could have been at football practice on time.

I have a fellow a year for a non-accredited spot. They do not sign scripts. I have 3 nurses and no MA's. The office staff supporting the docs includes 120 employees. And we all get along. My boss doc does IM and GI. He could run the country. I work with an 87 y/o semi-retired Orthopedic who flew B17 bombers. Still sharper than I am. RHeumatologist and Neurologist are down the hall. I am blessed to have my current setup. My patients are mostly 70+. I ride motorcycles with one of them whenever I get the chance. He tires me out and wants to run 6 hrs tomorrow through the mountains. I'm going to hide his stim remote so we can't go so far.

 

[mille125]

Moi...

Physiatrist, work with two surgeons, 3D/wk at the main office - metro area with 300K catchment - 2d/wk traveling to rural satellites on or near the Pacific coast. Love my satellite clinics, was at one today🙂

We are having a warm summer,96 today, the commute was spectacular.

Anesthesia trained. Three docs now in 100% pain. Three offices and three satellites in Texas. Clinic staff now over 20 when it was just 3 in 2008 (ie massive growth) Couldnt imagine doing anything else or working for anyone else. No PA's and NP's and dont know if I will every have one. No weekends, no call, and maybe 10 after hour patient calls per year. Essentially 830-5 every day.

 

[Jcm800]

Move this to the private forum and I will tell you...

 

[mille125]

Move this to the private forum and I will tell you...

I agree...request move to private forum

 

[PhillDOc]

Sorry to jump in with a question from a student, but could any of you be a bit more specific and describe what your hour to hour is like in pain (what kind of procedure mix, patient complaints, salary even...). I'm perusing and searching this sight almost everyday so I have searched and read a lot of info, but the field seems to be very different depending on who you talk to and what kind of set-up you have. I'm just trying to get a better idea of how various "pain" docs spend their day.

I'm an MSIV applying PM&R and have done rotations in inpatient rehab and pain....the pain I saw, however, was all OR fluoroscopic injections with the occasional stim...then we'd move into the office and see 40 more patients who were mostly there for injections. It was a VERY high volume practice, but seemed a bit monotonous to me (one injection after another). He usually did 12-15 cases in the OR followed by 40 patients in the office. Started at 7 am ended around 7-7:30 pm. Is this typical? Thanks!

 

[SSdoc33]

Sorry to jump in with a question from a student, but could any of you be a bit more specific and describe what your hour to hour is like in pain (what kind of procedure mix, patient complaints, salary even...). I'm perusing and searching this sight almost everyday so I have searched and read a lot of info, but the field seems to be very different depending on who you talk to and what kind of set-up you have. I'm just trying to get a better idea of how various "pain" docs spend their day.

I'm an MSIV applying PM&R and have done rotations in inpatient rehab and pain....the pain I saw, however, was all OR fluoroscopic injections with the occasional stim...then we'd move into the office and see 40 more patients who were mostly there for injections. It was a VERY high volume practice, but seemed a bit monotonous to me (one injection after another). He usually did 12-15 cases in the OR followed by 40 patients in the office. Started at 7 am ended around 7-7:30 pm. Is this typical? Thanks!

Not everyone practices like plastaras...

 

[101N]

I'm ok with moving to the private forum, but I'll have to join it.

Would prefer that this doesn't get highjacked into another 'how much do you make' thread by fellows, residents, or medstudents.

 

[Jcm800]

I'm ok with moving to the private forum, but I'll have to join it.

Would prefer that this doesn't get highjacked into another 'how much do you make' thread by fellows, residents, or medstudents.

You should join private forum. I am reluctant to post outside of it.

 

[lobelsteve]

You should join private forum. I am reluctant to post outside of it.

Why? I'm the only idiot with his name out there.

 

[Jcm800]

Why? I'm the only idiot with his name out there.

Lawyers, drug addicts, stalking patients... The list goes on

 

[facets]

You forgot stalking exes.

Lawyers, drug addicts, stalking patients... The list goes on

 

[PMR 4 MSK]

Sorry to jump in with a question from a student, but could any of you be a bit more specific and describe what your hour to hour is like in pain (what kind of procedure mix, patient complaints, salary even...). I'm perusing and searching this sight almost everyday so I have searched and read a lot of info, but the field seems to be very different depending on who you talk to and what kind of set-up you have. I'm just trying to get a better idea of how various "pain" docs spend their day.

I'm an MSIV applying PM&R and have done rotations in inpatient rehab and pain....the pain I saw, however, was all OR fluoroscopic injections with the occasional stim...then we'd move into the office and see 40 more patients who were mostly there for injections. It was a VERY high volume practice, but seemed a bit monotonous to me (one injection after another). He usually did 12-15 cases in the OR followed by 40 patients in the office. Started at 7 am ended around 7-7:30 pm. Is this typical? Thanks!

You are describing a "block jock" AKA "Needle Monkey." These are guys who feel every pain is simply a deficiency of local anesthetic and steroid. They treat MRIs, not patients. That is not pain medicine.

Most of us have blocks of time spent in clinic, seeing and evaluating patients for a variety of conditions. We take histories, do physical exams, make a diagnosis and then recommend or offer treatments. That may include meds, PT, TENS, injections or even referral to a surgeon when approriate.

Some docs set aside blocks for fluoro procedures. Others do it as they go along in clinic. Some have their own fluoro, other go to a hospital or ASC for it.

I also do diagnostic work - EMGs, arthrograms, nerve blocks, as well as US-guided joint injections for orthopods in my practice.